MS-DRG · FY 2026 v43.0

MS-DRG 419 – Laparoscopic Cholecystectomy without C.D.E. without CC/MCC

A Surgical DRG in MDC 07 (Diseases & Disorders of the Hepatobiliary System & Pancreas). Inpatient cases group to DRG 419 when one of the 8 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 1.3658 with a geometric mean length of stay of 2.2 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
1.3658
Relative Weight
2.2
Geometric Mean LOS (days)
2.6
Arithmetic Mean LOS (days)
8
Procedure Codes

Severity family

DRG 417with MCCWeight 2.3864 · GMLOS 4.7 daysDRG 418with CCWeight 1.6916 · GMLOS 3.2 daysDRG 419without CC/MCCWeight 1.3658 · GMLOS 2.2 days
How a case is assigned to DRG 419

The grouper first assigns the case to MDC 07 from the principal diagnosis, then matches a qualifying operating-room procedure from the ICD-10-PCS list below (this is a Surgical DRG), then applies the severity split from secondary diagnoses: with MCC → 417; with CC → 418; without CC/MCC → 419.

ICD-10-PCS

Procedure Codes 8 codes · 3 categories

0F54 Hepatobiliary System and Pancreas, Destruction3 codes
  • 0F544Z3 Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0F544ZZ Destruction of Gallbladder, Percutaneous Endoscopic Approach
  • 0F548ZZ Destruction of Gallbladder, Via Natural or Artificial Opening Endoscopic
0FB4 Hepatobiliary System and Pancreas, Excision3 codes
  • 0FB44ZX Excision of Gallbladder, Percutaneous Endoscopic Approach, Diagnostic
  • 0FB44ZZ Excision of Gallbladder, Percutaneous Endoscopic Approach
  • 0FB48ZZ Excision of Gallbladder, Via Natural or Artificial Opening Endoscopic
0FT4 Hepatobiliary System and Pancreas, Resection2 codes
  • 0FT44ZG Resection of Gallbladder, Percutaneous Endoscopic Approach, Hand-Assisted
  • 0FT44ZZ Resection of Gallbladder, Percutaneous Endoscopic Approach
ICD-10-CM

Qualifying Diagnosis Codes

Diagnosis codes do not drive assignment for this DRG. Cases group here from the ICD-10-PCS procedure list below.

Frequently Asked Questions

What is MS-DRG 419?

MS-DRG 419 (Laparoscopic Cholecystectomy without C.D.E. without CC/MCC) is a surgical DRG in MDC 07 (Diseases & Disorders of the Hepatobiliary System & Pancreas). Its FY 2026 relative weight is 1.3658 with a geometric mean length of stay of 2.2 days.

What is the difference between DRG 417, 418, 419?

All 3 share the same base category; the severity of secondary diagnoses separates them: 417 (with MCC), 418 (with CC), 419 (without CC/MCC). A major complication or comorbidity (MCC) places the case in the highest-weighted DRG of the family; a CC in the middle; neither in the lowest.

How many procedure codes group to DRG 419?

8 ICD-10-PCS operating-room procedure codes group to this DRG.

What is the relative weight of DRG 419?

The FY 2026 relative weight of this DRG is 1.3658, meaning reimbursement of roughly 1.37 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 418 – Laparoscopic Cholecystectomy without C.D.E. with CC
Source: CMS ICD-10 MS-DRG v43.0 Definitions Manual and the FY 2026 IPPS Final Rule (Table 5), effective October 1, 2025 through September 30, 2026. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.